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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

B

Workshop Agendas

Providing Sustainable Mental Health Care in Kenya:
A Workshop

Villa Rosa Kempinski
Chiromo Road, Nairobi, Kenya
January 13–14, 2015

Background:

The global burden for mental, neurological, and substance use (MNS) disorders is significant, and the treatment gap is particularly high in sub-Saharan Africa (SSA). Less than 1 percent of national health budgets are spent on MNS disorders, which is disproportionately low compared to the burden of the disease. Competing public health priorities, financial constraints, and poverty are all factors that can negatively affect access to mental health care. Challenges associated with the delivery of care include inadequate health system infrastructure to support mental health care (e.g., beds and medicines), the lack of national policy frameworks for mental health, and deficient information health systems to monitor and evaluate services. The lack of community awareness and stigma around MNS disorders can also negatively affect demand for care and treatment. In addition, there is a need for increasing the number of trained health care providers to deliver evidence-based treatment in both the hospital and community settings. Recognizing the importance of sustainable mental health care, this workshop will bring together key stakeholders to examine country-specific opportunities to improve the health system infrastructure in Kenya in order to improve and develop sustaina-

Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

ble access to mental health to ensure that the right patients get the right care and treatment at the right time, in the right setting.

Meeting Objectives:

Participants will be invited to focus discussions on the following four topic areas:

  • The elements of a mental health care system
    • Consider the components of a mental health care system that would be needed to provide access to mental health care (diagnosis, treatment, access to medicines, and continuing care) in both rural and urban environments.
    • Explore how existing health care infrastructure and available resources can be leveraged to enable sustainable access to mental health care.
      • Consider mechanisms for how mental health care could be integrated or coordinated with care for co- and multiple morbidities.
    • Discuss opportunities to strengthen the health information system infrastructure to ensure adequate tracking of patient- and health facility–level data.
    • Articulate the core elements of near- and long-term plans that would be necessary to develop sustainable mental health services, including what could be included in a demonstration project.
  • Engagement of key stakeholders
    • Consider the role of governments, nongovernmental organizations, the private sector, home health care, faith-based organizations, and traditional medicine in the establishment of an integrated mental health care model.
    • Examine current policy, funding, and payment practices for each type of stakeholder, including identifying barriers to the development of a sustainable mental health care system.
    • Consider how non-health sectors, such as telecommunications, energy, and others, could strengthen the health care infrastructure.
  • Access to medicines
    • Identify critical barriers to the delivery, selection, and prescription of medicines.
    • Examine successful activities that could be implemented to increase access to medicines, including characteristics of
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
  • medicines that may improve patient adherence (e.g., modes of delivery).

  • Stigma
    • Consider the impact of stigma on the seeking and provision of care and on mental health outcomes, and discuss how the mental health care system could be designed with concerns about stigma in mind.
    • Examine components of previous or existing antistigma campaigns that could be applied in Kenya.

DAY ONE

     
8:30 a.m. Welcome
     
    HON. JAMES MACHARIA (INVITED)
    Cabinet Secretary
    Ministry of Health, Kenya
     
8:35 a.m. Opening Remarks: Workshop Objectives and Deliverables
     
    VIKRAM PATEL, Workshop Co-Chair
    Professor of International Mental Health
    London School of Hygiene and Tropical Medicine
     
    SOLOMON MPOKE, Workshop Co-Chair
    Director
    Kenya Medical Research Institute
     
8:40 a.m. Review of Related Institute of Medicine (IOM) Sub-Saharan Africa Workshops
     
    ALAN LESHNER
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science
     
8:55 a.m. Responding to the Burden of Mental Disorders: Overview of the World Health Organization’s (WHO’s) Mental Health Action Plan
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    JOYCE NATO
    Mental Health Advisor
    WHO Country Office, Kenya

SESSION I: CHALLENGES AND OPPORTUNITIES TO
PROVIDING SUSTAINABLE MENTAL HEALTH CARE IN
KENYA

Session Objectives: Explore feasible opportunities to improve mental health care for individuals in Kenya. Discuss special considerations for the provision of care to children. Identify barriers to diagnosis, treatment, and access to medicines for rural and urban environments. Consider the impact of stigma on the seeking and provision of care.

9:10 a.m. Overview and Session Objectives
     
    LUKOYE ATWOLI, Session Chair
    Dean, Moi University School of Medicine
     
9:15 a.m. Overall Health Care System in Kenya
   
  • Discuss the effectiveness of the decentralization scheme.
  • What are the major challenges in the current health care system?
  • What is the referral process from hospital to community setting?
  • Discuss elements of successful communicable disease programs (e.g., HIV/AIDS and tuberculosis), and the indicators that were used.
     
    RICHARD OTIENO MUGA
    Deputy Vice Chancellor and Associate Professor
    Great Lakes University of Kisumu
     
9:35 a.m. Mental Health Care System in Kenya
   
  • How is mental health care incorporated into the overall health care system?
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
   
    • Consider the indicators listed in the WHO’s Mental Health Action Plan and data from the Mental Health Atlas.
  • Discuss Kenya’s new Mental Health Act and policies.
  • What is the level of funding that is allocated to mental health care and how is this distributed to regional and district facilities?
    • How is the allocation of funding affected by stigma?
    • Who are the key stakeholders involved?
     
    DAVID KIIMA
    Director of Mental Health
    Ministry of Medical Services, Kenya
     
9:55 a.m. National Epilepsy Treatment Guidelines
     
    PAUL G. KIOY Chairman Kenya Society for Epilepsy National Epilepsy Coordination Committee
     
10:15 a.m. Panel Discussion with Session Speakers and Participants
     
11:00 a.m. BREAK
     
11:15 a.m. Diagnosis and Treatment
   
  • Who provides the care and what is their level of training for MNS disorders?
    • Compare and contrast care of MNS disorders.
  • What is the impact of stigma on the seeking and provision of care?
     
    Hospital-Based Services
     
    CATHERINE SYENGO MUTISYA
    Deputy Medical Superintendent
    Mathari Hospital
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    Traditional and Faith-Based Services
     
    VICTORIA MUTISO
    Senior Researcher
    Africa Mental Health Foundation
     
11:55 a.m. Access to Essential Medicines
   
  • What are the critical barriers to the delivery, selection, and prescription of medicines?
    • What are the out-of-pocket costs to patients?
  • Describe the effectiveness of the current supply chain.
  • Discuss the availability of the medicines listed on the country’s essential medicines list to patients.
  • What are the unique challenges for poor, vulnerable, and secluded populations?
     
    JOHN M. MUNYU
    Chief Executive Officer
    Kenya Medical Supplies Authority
     
12:15 p.m. Panel Discussion with Session Speakers and Participants
     
    LUKOYE ATWOLI, Session Chair
    Dean, Moi University School of Medicine
     
1:00 p.m. LUNCH

SESSION II: OPPORTUNITIES TO STRENGTHEN AND
INTEGRATE THE MENTAL HEALTH SYSTEM IN KENYA

Session Objectives: Consider lessons learned from successful programs that have increased mental health services and access to medicines. Identify critical components that might be incorporated into a small-scale demonstration project, including the role of health information systems.

2:00 p.m. Overview and Session Objectives
     
    FRANK NJENGA, Session Chair
    Founder and President
    Association of Psychiatrists and Allied Professionals
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
2:05 p.m. Case Studies in Kenya
     
  Africa Mental Health Foundation
    DAVID NDETEI
    Founding Director
    Africa Mental Health Foundation
     
  Kenya Association for the Welfare of People with Epilepsy
    OSMAN MIYANJI
    Founding Director and Chair
    Kenya Association for the Welfare of People with Epilepsy
     
  BasicNeeds
    JOYCE KINGORI
    Kenya Country Program Manager BasicNeeds
     
3:05 p.m. Lessons Learned: Panel Discussion with Speakers and Participants
 
  • What were the challenges in developing and executing the project?
  • What partnerships were critical to the success of the project?
  • Were specific lessons learned that could be applied to efforts around sustainable mental health care?
     
  FRANK NJENGA, Session Chair
  Founder President
  Association of Psychiatrists and Allied Professionals
     
3:45 p.m. BREAK
     
4:00 p.m. Case Studies: International Efforts
     
  Ethiopia — PRIME
    TEDLA WOLDE-GIORGIS
    Advisor, Officer of the Minister
    Ministry of Health, Ethiopia
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
  World Association of Social Psychiatry/Sanofi Approach — Guatemala, Comoros, and Morocco
    FRANҪOIS BOMPART
    Vice President, Deputy Head, and Medical Director
    Access to Medicines
    Sanofi
     
  China — 686 Project
    MA HONG
    Professor of Institute of Mental Health, Peking University
    Executive Director, National Center for Mental Health, China-Center for Disease Control and Prevention
    Deputy Director, Office of National Mental Health Programs
    Ministry of Health, China
     
  Turkey — New Mental Health Plan
    OĞUZ KARAMUSTAFALIOĞLU
    Professor of Psychiatry
    Üsküdar University
     
5:00 p.m. Lessons Learned: Panel Discussion with Speakers and Participants
 
  • What were the challenges in developing and executing the project?
  • What partnerships were critical to the success of the project?
  • Were specific lessons learned that could be applied to efforts around sustainable mental health care?
     
5:30 p.m. WRAP-UP AND ADJOURN
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

DAY TWO

8:00 a.m. Day Two Welcome
     
    VIKRAM PATEL, Workshop Co-Chair
    Professor of International Mental Health
    London School of Hygiene and Tropical Medicine
     
    SOLOMON MPOKE, Workshop Co-Chair
    Director
    Kenya Medical Research Institute
     
8:05 a.m. Day One Overview: Defining the Challenges, Identifying the Opportunities
     
    LUKOYE ATWOLI, Session I Chair
    Dean, Moi University School of Medicine
     
    FRANK NJENGA, Session II Chair
    Founder President
    Association of Psychiatrists and Allied
    Professionals

SESSION III: A ROADMAP FORWARD: COMPONENTS OF A
DEMONSTRATION PROJECT

Session/Breakout Objectives: Identify a roadmap forward to implement a demonstration project to improve and develop sustainable access to mental health care in Kenya. Consider resources (financial, material, etc.) and key stakeholders needed to establish an integrated care model.

8:15 a.m. Elements of a Demonstration Project
 
  • Discuss an implementation plan describing the steps for a small-scale demonstration project that would enable the development and integration of sustainable mental health services.
     
    ANA-CLAIRE MEYER
    Assistant Professor of Neurology
    Yale School of Medicine
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    DAVID NDETEI
    Founding Director
    African Mental Health Foundation
     
8:50 a.m. Mental Health Information Systems
 
  • Discuss steps to design a mental health information system to capture, store, manage, and transmit information about patients to help inform decisions for improving access to quality care.
     
    PETER WAIGANJO WAGACHA
    Associate Professor, School of Computing and Informatics
    University of Nairobi
     
9:10 a.m. Discussion
     
9:40 a.m. BREAK
     
9:50 a.m. Breakout Objectives and Goals
     
    VIKRAM PATEL, Workshop Co-Chair
    Professor of International Mental Health
    London School of Hygiene and Tropical Medicine
     
10:00 a.m. BREAKOUT SESSIONS
  Breakout Objective: Conduct an in-depth analysis of the following four topic areas in relation to the implementation of a small-scale demonstration project in Kenya: (1) diagnosis and treatment; (2) access to medicines; (3) stigma; and (4) mental health information systems. Specifically, each breakout group will discuss opportunities to improve current practices while considering lessons learned from the previously discussed case studies. In addition, participants will consider how current infrastructure could be leveraged to improve sustainable mental health care. Lastly, each breakout will outline the resources, key stakeholders, and metrics of success needed for each area.
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
MENTAL HEALTH CARE INFRASTRUCTURE: DIAGNOSIS AND TREATMENT
FACILITATORS
    BEVERLY PRINGLE, U.S. National Institute of Mental Health
    SYLVIA KAAYA, Muhimbili University of Health and Allied Sciences–Tanzania
     
SPEAKER
  CHRIS NATT
  HELIX Centre
  Royal College of Art
  Imperial College London
   
IMPROVING ACCESS TO MEDICINES
FACILITATORS
  FIONA DUNBAR, Janssen Pharmaceuticals, Inc.
  IMRAN MANJI, U.S. Agency for International Development-Academic
Model for Providing Access to Healthcare
   
SPEAKER
  FRED SIYOI
    Deputy Registrar
    Pharmacy and Poisons Board, Kenya
     
REDUCING STIGMA
 
FACILITATORS
    ALAN LESHNER, American Association for the Advancement of Science
    GRAHAM THORNICROFT, Kings College, London
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
  SPEAKER
    IVAYLO VLAEV
    Professor of Behavioural Science
    Warwick Business School
    University of Warwick
     
  DEVELOPING MENTAL HEALTH INFORMATION SYSTEMS
     
  FACILITATORS
    FRANҪOIS BOMPART, Sanofi
    JOYCE NATO, World Health Organization
     
  SPEAKER
    AHMED HESHMAT
    Mental Health Advisor
    Technical Cooperation Programme
    Ministry of Public Health–Afghanistan
     
12:00 p.m. LUNCH
     
1:00 p.m. Report Out from the Breakout Session
     
    BEVERLY PRINGLE
    Chief, Global Mental Health Research Program
    Office for Research on Disparities and Global Mental Health
    U.S. National Institute of Mental Health
     
    FIONA DUNBAR
    Vice President, Global Medical Affairs
    Janssen Pharmaceuticals, Inc.
     
    ALAN LESHNER
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    FRANҪOIS BOMPART
    Vice President, Deputy Head, and Medical
    Director
    Access to Medicines
    Sanofi
     
2:00 p.m. Discussion with Participants
     
2:30 p.m. BREAK

SESSION IV: NEXT STEPS: IMPLEMENTING THE
ROADMAP FORWARD

Session Objective: Identify tangible next steps for launching a demonstration project in Kenya.

2:45 p.m. Overview
     
    VIKRAM PATEL, Workshop Co-Chair
    Professor of International Mental Health
    London School of Hygiene and Tropical Medicine
     
    SOLOMON MPOKE, Workshop Co-Chair
    Director
    Kenya Medical Research Institute
     
3:00 p.m. Discussion with Workshop Session Chairs, Facilitators, and Participants
 
  • Identify potential next steps for launching the demonstration project
     
3:45 p.m. Closing Remarks
     
4:00 p.m. ADJOURN
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

Providing Sustainable Mental Health Care in Ghana:
A Workshop

La-Palm Royal Beach Hotel
No. 1 Bypass, Accra, Ghana
April 28–29, 2015

Background:

The global burden for MNS is significant, and the treatment gap is particularly high in SSA. Less than 1 percent of national health budgets are spent on MNS disorders, which is disproportionately low compared to the burden of the disease. Competing public health priorities, financial constraints, and poverty are all factors that can negatively affect access to mental health care. Challenges associated with the delivery of care include inadequate health system infrastructure to support mental health care (e.g., beds and medicines), the lack of national policy frameworks for mental health, and deficient information health systems to monitor and evaluate services. The lack of community awareness and stigma around MNS disorders can also negatively affect demand for care and treatment. In addition, there is a need for increasing the number of trained health care providers to deliver evidence-based treatment in both the hospital and community settings. Recognizing the importance of sustainable mental health care, this workshop will bring together key stakeholders to examine country-specific opportunities to improve the health system infrastructure in Ghana in order to improve and develop sustainable access to mental health to ensure that the right patients get the right care and treatment at the right time, in the right setting.

Meeting Objectives:

Participants will be invited to focus discussions on the following four topic areas:

  • The elements of a mental health care system
    • Consider the components of a mental health care system that would be needed to provide access to mental health care (diagnosis, treatment, access to medicines, and continuing care) in both rural and urban environments.
    • Explore how existing health care infrastructure and available resources can be leveraged to enable sustainable access to mental health care.
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
      • Consider mechanisms for how mental health care could be integrated or coordinated with care for co- and multiple morbidities.
    • Discuss opportunities to strengthen the health information system infrastructure to ensure adequate tracking of patient- and health facility–level data.
    • Articulate the core elements of near- and long-term plans that would be necessary to develop sustainable mental health services, including what could be included in a demonstration project.
  • Engagement of key stakeholders
    • Consider the role of governments, nongovernmental organizations, the private sector, home health care, faith-based organizations, and traditional medicine in the establishment of an integrated mental health care model.
    • Examine current policy, funding, and payment practices for each type of stakeholder, including identifying barriers to the development of a sustainable mental health care system.
    • Consider how non-health sectors, such as telecommunications, energy, and others, could serve to strengthen the health care infrastructure.
  • Access to medicines
    • Identify critical barriers to the delivery, selection, and prescription of medicines.
    • Examine successful activities that could be implemented to increase access to medicines, including characteristics of medicines that may improve patient adherence (e.g., modes of delivery).
  • Stigma
    • Consider the impact of stigma on the seeking and provision of care on mental health outcomes and discuss how the mental health care system could be designed with concerns about stigma in mind.
    • Examine components of previous or existing antistigma campaigns that could be applied in Ghana.

Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

DAY ONE

8:00 a.m. Welcome: Workshop Objectives and Deliverables
     
    AKWASI OSEI, Workshop Co-Chair
    Acting Chief Executive Officer
    Ghana Mental Health Authority
     
8:05 a.m. Opening Remarks
     
    EBENEZER APPIAH-DENKYIRA
    Director General
    Ghana Health Service
     
8:10 a.m. Review of Related IOM Sub-Saharan Africa Workshops
     
    ALAN LESHNER, Workshop Co-Chair
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science

SESSION I: OVERVIEW OF THE CURRENT MENTAL
HEALTH INFRASTRUCTURE IN GHANA

Session Objectives: Examine current policies and legislation designed to improve mental health care in Ghana. Explore feasible opportunities to improve mental health care for individuals in Ghana. Discuss special considerations for the provision of care to children. Identify barriers to diagnosis, treatment, and access to medicines for rural and urban environments. Consider the impact of stigma on the seeking and provision of care.

8:25 a.m. Overview and Session Objectives
     
    SAMMY OHENE, Session Chair
    Senior Lecturer
    Head, Department of Psychiatry
    University of Ghana Medical School
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
8:30 a.m. Mental Health Care System in Ghana
   
  • How is mental health care incorporated into the overall health care system?
    • Consider the indicators listed in the WHO’s Mental Health Action Plan and data from the Mental Health Atlas.
    • Discuss Ghana’s Mental Health Act and its key achievements.
    • How does the National Health Insurance Scheme provide coverage for mental health services and treatment?
  • What is the level of funding that is allocated to mental health care and how is this distributed to regional and district facilities?
  • Who provides the care and what is their level of training for MNS disorders? o What is the impact of stigma on the seeking and provision of care?
  • What are the critical barriers to the delivery, selection, and prescription of medicines?
     
    J. B. ASARE
    Chairman
    Mental Health Authority Board
     
8:50 a.m. Panel Discussion: The Need for Sustainable Mental Health Care in Ghana
   
  • Using the Mental Health Act as a foundation, discuss the near- and long-term plans that would be necessary to develop sustainable mental health care in Ghana (diagnosis, treatment, and access to medicines).
    • Who are the key stakeholders involved?
    • How can organizations work with the Mental Health Authority?
  • Discuss special considerations for vulnerable populations (e.g., children).
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    FRANCIS ACQUAH
    President of the Board of Directors
    Mental Health Foundation of Ghana
     
    AKOSUA BONSU
    Community Psychiatric Nurse
    Koforidua Regional Hospital
     
    HUMPHREY KOFIE
    Director
    Mental Health Society of Ghana
     
    LINDA VANOTOO
    Regional Director of Health Service
    Greater Accra Region
     
    KOKU AWONOOR WILLIAMS
    Regional Director of Health Service
    Upper East Region
     
9:45 a.m. Discussion with Panelists and Workshop Participants
     
10:15 a.m. BREAK

SESSION II: LESSONS LEARNED: OPPORTUNITIES TO
STRENGTHEN AND INTEGRATE THE MENTAL HEALTH
SYSTEM IN GHANA

Session Objectives: Consider lessons learned from successful programs that have increased mental health services and access to medicines. Identify critical components that might be incorporated into a small-scale demonstration project, including the role of health information systems.

10:30 a.m. Overview and Session Objectives
     
    CAROL BERNSTEIN, Session Chair
    Associate Professor of Psychiatry
    Vice Chair for Education and Director of Residency Programs
    New York University School of Medicine
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
10:35 a.m. Case Studies in Ghana
     
    Direct Relief — Ghanaian Mental Health Pilot Program
    ANDREW SCHROEDER
    Director of Research and Analytics
    Direct Relief
     
    Sanofi/World Health Organization — Fight Against Epilepsy
    CYNTHIA SOTTIE
    National Coordinator
    Ghana Health Service
     
    The Kintampo Project
    E. T. ADJASE
    Project Lead, Ghana
    The Kintampo Project
     
    BasicNeeds
    PETER YARO
    Executive Director
    BasicNeeds Ghana
     
    Institute for Healthcare Improvement — Project Fives Alive!
    SODZI SODZI-TETTEY
    Director, Project Fives Alive!
    Institute for Healthcare Improvement
     
11:50 a.m. Lessons Learned: Panel Discussion with Speakers and Workshop Participants
   
  • What were the challenges in developing and executing the project?
  • What partnerships were critical to the success of the project?
  • Were specific lessons learned that could be applied to efforts around sustainable mental health care?
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    CAROL BERNSTEIN, Session Chair
    Associate Professor of Psychiatry
    Vice Chair for Education and Director of Residency Programs
    New York University School of Medicine
     
12:30 p.m. LUNCH
     
1:15 p.m. Case Studies: International Efforts
     
    Rwanda — Partners In Health
    STEPHANIE SMITH
    Abundance Fellow in Global Mental Health
    Department of Global Health & Social
    Medicine
    Harvard Medical School
     
    Nigeria — EMERALD Project
    JIBRIL ABDULMALIK
    Lecturer
    Department of Psychiatry
    University of Ibadan
     
    World Association of Social Psychiatry/Sanofi
    Approach — Guatemala, Comoros, and Morocco
    FRANҪOIS BOMPART
    Vice President, Deputy Head, and Medical Director
    Access to Medicines
    Sanofi
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
    China — 686 Project
    HONG MA
    Professor of Institute of Mental Health, Peking University
    Executive Director, National Center for Mental Health, China-Centers for Disease
    Control and Prevention
    Deputy Director, Office of National Mental Health Programs
    Ministry of Health, China
     
2:15 p.m. Lessons Learned: Panel Discussion with Speakers and Workshop Participants
   
  • What were the challenges in developing and executing the project?
  • What partnerships were critical to the success of the project?
  • Were specific lessons learned that could be applied to efforts around sustainable mental health care?
     
    CAROL BERNSTEIN, Session Chair
    Associate Professor of Psychiatry
    Vice Chair for Education and Director of Residency Programs
    New York University School of Medicine

SESSION III: IDENTIFYING THE CHALLENGES IN THE
MENTAL HEALTH SYSTEM IN GHANA

Session Objective: Identify the current challenges in the mental health care system in regard to diagnosis and treatment, access to medicines, stigma, and health information systems.

3:00 p.m. Breakout I Objectives and Goals
    ALAN LESHNER, Workshop Co-Chair
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
3:10 p.m. BREAK
     
3:25 p.m. BREAKOUT SESSIONS
     
  Breakout I Objective: Brainstorm the key priority areas/challenges for the following four topic areas: (1) diagnosis and treatment; (2) access to medicines; (3) stigma; and (4) mental health information systems.
     
    MENTAL HEALTH CARE INFRASTRUCTURE: DIAGNOSIS AND TREATMENT
    FACILITATOR: JULIAN EATON, CBM
    RAPPORTEUR: KWADWO OBENG, Accra Psychiatric Hospital
    SPEAKER: ALBERT AKPALU, Korle Bu Teaching Hospital
     
    IMPROVING ACCESS TO MEDICINES
    FACILITATOR: FIONA DUNBAR, Janssen
    Pharmaceuticals, Inc.
    RAPPORTEUR: SALLY ANN OHENE, World
    Health Organization, Ghana Country Office
    SPEAKER: MARTHA GYANSA-LUTTERODT,
    Ministry of Health, Ghana
     
    REDUCING STIGMA
    FACILITATOR: BEVERLY PRINGLE, U.S. National Institute of Mental Health
    RAPPORTEUR: SHANTHA RAU BARRIGA, Human Rights Watch
    SPEAKER: GRÉGOIRE AHONGBONON, Saint Camille de Lellis Association
     
    DEVELOPING MENTAL HEALTH INFORMATION SYSTEMS
    FACILITATOR: ANGELA OFORI-ATTA, University of Ghana Medical School
    RAPPORTEUR: BENEDICT WEOBONG, London School of Hygiene and Tropical Medicine
    SPEAKER: LILY KPOBI, University of Ghana
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
5:00 p.m. Report Out from Each Breakout Group
     
5:30 p.m. Discussion with Facilitators and Workshop Participants
     
6:00 p.m. WRAP-UP AND ADJOURN

DAY TWO

8:30 a.m. Day Two Welcome
     
    ALAN LESHNER, Workshop Co-Chair
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science
     
    AKWASI OSEI, Workshop Co-Chair
    Acting Chief Executive Officer
    Ghana Mental Health Authority
     
8:40 a.m. Day One Overview: Defining the Challenges, Identifying the Opportunities
     
    SAMMY OHENE, Session I Chair
    Senior Lecturer
    Head, Department of Psychiatry
    University of Ghana Medical School
     
    CAROL BERNSTEIN, Session II Chair
    Associate Professor of Psychiatry
    Vice Chair for Education and Director of Residency Programs
    New York University School of Medicine

SESSION IV: A ROADMAP FORWARD: COMPONENTS OF A
DEMONSTRATION PROJECT

Session/Breakout Objectives: Identify a roadmap forward to implement a demonstration project to improve and develop sustainable access to men-

Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

tal health care in Ghana. Consider resources (financial, material, etc.) and key stakeholders needed to establish an integrated care model.

9:00 a.m. Elements of a Demonstration Project
 
  • Discuss an implementation plan describing the steps for a small-scale demonstration project that would enable the development and integration of sustainable mental health services.
     
    JULIAN EATON
    Mental Health Advisor
    CBM International
     
    SAMMY OHENE
    Senior Lecturer
    Head, Department of Psychiatry
    University of Ghana Medical School
     
9:30 a.m. Panel Discussion with Speakers and Workshop Participants
     
10:00 a.m. Breakout II and III Objectives and Goals
     
    ALAN LESHNER, Workshop Co-Chair
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science
     
10:15 a.m. BREAK
     
10:30 a.m. BREAKOUT SESSIONS
     
10:30–11:45 a .m. Breakout II Objective: Each breakout group will discuss opportunities to improve current practices while considering lessons learned from the previously discussed case studies. Opportunities noted should be actionable in relation to the implementation of a small-scale demonstration project. Participants will consider how current infrastructure could be leveraged to improve sustainable mental health care.
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
11:45 a.m.–1:30 p.m. Breakout III Objective: Each breakout will outline the resources, metrics of success, and key stakeholders (including the lead implementers) needed for each opportunity.
     
    MENTAL HEALTH CARE INFRASTRUCTURE: DIAGNOSIS AND TREATMENT
    FACILITATOR: JULIAN EATON, CBM
    RAPPORTEUR: KWADWO OBENG, Accra Psychiatric Hospital
     
    IMPROVING ACCESS TO MEDICINES
    FACILITATOR: FIONA DUNBAR, Janssen Pharmaceuticals, Inc.
    RAPPORTEUR: SALLY ANN OHENE, World Health Organization, Ghana Country Office
     
    REDUCING STIGMA
    FACILITATOR: BEVERLY PRINGLE, U.S. National Institute of Mental Health
    RAPPORTEUR: SHANTHA RAU BARRIGA, Human Rights Watch
     
    DEVELOPING MENTAL HEALTH INFORMATION SYSTEMS
    FACILITATOR: ANGELA OFORI-ATTA, University of Ghana Medical School
    RAPPORTEUR: BENEDICT WEOBONG, London School of Hygiene and Tropical Medicine
     
1:30 p.m. LUNCH
     
2:30 p.m. Report Out from Each Breakout Group
     
3:30 p.m. Discussion with Facilitators and Participants
     
    AKWASI OSEI, Workshop Co-Chair
    Acting Chief Executive Officer
    Ghana Mental Health Authority
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
4:15 p.m. Closing Remarks
     
    ALAN LESHNER, Workshop Co-Chair
    Chief Executive Officer Emeritus
    American Association for the Advancement of Science
    Former Executive Publisher, Science
     
    AKWASI OSEI, Workshop Co-Chair
    Acting Chief Executive Officer
    Ghana Mental Health Authority
     
4:30 p.m. WRAP-UP AND ADJOURN
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
Page 80
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
Page 85
Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Appendix B: Workshop Agendas." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Mental, neurological, and substance use (MNS) disorders have a substantial impact on global health and well-being. Disorders such as depression, alcohol abuse, and schizophrenia constitute about 13 percent of the total burden of disease. Worldwide, MNS disorders are the leading cause of disability, and the 10th leading cause of death. Despite this high burden, there is a significant shortage of resources available to prevent, diagnose, and treat MNS disorders. Approximately four out of five people with serious MNS disorders living in low- and middle-income countries do not receive needed health services.

This treatment gap is particularly high in Sub-Saharan Africa (SSA). Challenges to MNS care in SSA countries include a lack of trained mental health professionals, few mental health facilities, and low prioritization for MNS disorders in budget allocations. African countries, on average, have one psychiatrist for every 2 million people, whereas European countries have one psychiatrist per 12,000 people.

Expanding on previous efforts to address the development and improvement of sustainable mental health systems in SSA, the Institute of Medicine convened this 2015 workshop series, bringing together key stakeholders to examine country-specific opportunities to improve the health care infrastructure in order to better prevent, diagnose, and treat MNS disorders. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya summarizes the presentations and discussions from these workshops.

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